<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ip_address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ip_address" class="form-control" name="row[ip_address]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Continent')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-continent" class="form-control" name="row[continent]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Country')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-country" class="form-control" name="row[country]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Queries_remaining')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-queries_remaining" class="form-control" name="row[queries_remaining]" type="number" value="0">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Registered_country')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-registered_country" class="form-control" name="row[registered_country]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Network')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-network" class="form-control" name="row[network]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-code" class="form-control" name="row[code]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Iso_code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-iso_code" class="form-control" name="row[iso_code]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Registered_code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-registered_code" class="form-control" name="row[registered_code]" type="text">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
